• 한국노년학
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• v.27 no.2
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• pp.335-343
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• 2007

The purpose of this study was to identify the relationships among the perceived health status, activities of daily living, and depression for the elderly at home. The subjects of this study were 403 elderly over 60 years at home. The data were collected through personal interviews using structured questionnaires. The data were analyzed by descriptive statistics and Pearson correlation, using the SPSS 12.0 program. The results of this study were as follows. 1) It was seen that the degree of perceived health status is poor in 62.3%. 2) They could lead an independent daily living in 58.1%. 3) It was seen that contraction of depression was 43.8%. 4) There was a significant relationship among ADL and perceived health status, ADL and depression. However, there was no significant relationship among perceived health status and depression. Based upon above findings, this study give useful information for elderly health policy and intervention program.

• 한국노년학
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• v.30 no.3
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• pp.695-708
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• 2010

Purpose: This study was to explore the factors affecting on Dietary Behavior Change of the vulnerable elderly based on the Stage of Change. Methods: This study was a secondary analysis of the data collected from 1,262 elderly who were participated in the case management program. Total 984 participants who responded all questionnaire were included in the analysis. The variables included general characteristics, health behavior, health status, and dietary behavior stage. The data collected were analyzed by descriptive statistics, trend test and multi-variate logistic regressions. Results: about twenty four percent of the vulnerable elderly subject was pre-contemplation stage and 46.1% of them was contemplation stage of dietary behavior. Having a depressive mood, dependance of Instrumental Activity of Daily living, and being medicaid affected on starting or on maintaining healthy dietary behavior in vulnerable elderly negatively. Conclusion: The tailored nutritional intervention depending on dietary behavior stage are needed for the vulnerable elderly to improve the health. The program which can maintain the function remained of elderly and give psychological support together will be more effective.

• 한국노년학
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• v.29 no.1
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• pp.71-87
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• 2009

The purpose of this study were to identify factors of successful aging and to suggest a successful aging model of elderly using Rowe & Kahn's model of successful aging. The components of the factors consisted of healthful status, physical·cognitive functions, psychosocial characteristics and productive activities. Data were collected from 2,958 elderly who has spouse and aged 65 above in KOSA Panel. Data were analyzed by Amos program 7.0 version. The statistical techniques were used descriptive statistics χ² and covariance structural analysis. Major findings of this study were as follows; Healthful status were positively related to increasing effort on physical·cognitive functions as well as psychosocial characteristics. Physical·cognitive functions were positively and directly related to psychosocial characteristics and productive activities. Psychosocial characteristics were positively and directly related to productive activities. Physical·cognitive functions and psychosocial characteristics were increased by receiving a direct and positive effort from healthful status. Productive activities were increased by receiving a direct and positive effort from physical·cognitive functions and psychosocial characteristics. Specific and realistic measures should be prepared for successful aging not only for present elderly but also for the future elderly people. Further research should be continued and encouraged to improve the implications for the successful aging especially in korea.

• 한국노년학
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• v.29 no.1
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• pp.275-289
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• 2009

The purpose of this study is to explore effective factors of elderly people's overall death anxiety and sub-dimensions of death anxiety. The subjects were 156 elderly people in S City, Gyeonggi-Do gathered by convenience sampling. This study collected data by interviewing the elderly who agreed to participate in the study and then analyzed it using SPSS 12.0 through descriptive statistics, the t-test, F-test, Sheffe-test, correlation analysis, and multiple regression. The respondents' overall death anxiety score was 2.61(±.47), and 'anxiety in the dying process'(2.94) had the highest points among sub-dimensions. Effective factors of overall level of death anxiety among the elderly were 'age' (β=-.18, p=.015), 'education' (β=-.16, p=.045), and 'economic status' (β=-.26, p=.003). In sub-dimensions, the elderly who were female, relatively young, and had low economic status showed high 'anxiety in the dying process'. As for 'anxiety over what will happen after one's death', the elderly who were relatively young, and had low economic status had high scores. Finally, on 'the loss of existence', the elderly who had poor relationships with their families had high scores.

• 한국노년학
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• v.30 no.4
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• pp.1129-1143
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• 2010

The purposes of this study were to investigate the major determinants influencing on health promoting behaviors(HPB) of the elderly living in Seoul. The conceptual framework of the study was Pender's health promoting model and the ecological perspectives. The study was conducted with 495 elderly persons whom 60 years old. For the analysis of data, descriptive statistics and hierarchical regression were used for the statistical analysis with SPSS program. The results were as following: 1) The mean score of the HPB was 3.11(SD=0.41). 2) Hierarchical regression analysis found that ModelIV accounted for 55.7% of the variance in HPB. 3) The Major determinants on HPB among the elderly persons were prior related perceived benefits of action, social support, perceived self-efficacy, community environment, perceived health status, education, and age. In conclusions, first, we should develop to various levels of educational and supportive programs for the HPB among the elderly persons. Second, we should examine more with environment, the accessibility to senior welfare agencies. Third, we should be organized the self-help groups for the elderly persons to improve health promoting behaviors. Fourth, the government should established more secure environment for the HPB, and find better solutions that are provided by various social welfare agencies connected with the coordination of the services in the local communities. Finally, we should develop professional education training programs of the HPB for the practitioners in the field of Gerontological Social Work.

• 한국노년학
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• v.31 no.4
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• pp.905-923
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• 2011

The purpose of this study is to examine factors affecting the conflict between grandparents raising grandchildren and adult children. The data were based on the panel survey to explore korean retirement and income study conducted by National Pension Service in 2009. For this study, 287 parenting grandparents rearing grandchild are selected from the survey. Included variables are a demographic factor, a economic factor, a caregiving-related factor, a health factor, and a family relationship factor. The data were analyzed using descriptive statistics, t-test, co-relation and logistic regression, with SPSS WIN 18.0 program. The results are as follows: First, when grandparents are male, older, highly educated, having no religion, and unemployed, a conflict with their adult children grows. Second, when grandparents do not have earned income or financial income, but have private income transfers, a conflict with their adult children is high. Third, when grandchildren are younger, there are no caregiving rewards, economic activities suspension or reduction because of caregiving, a conflict with their adult children is strong. Also, when grandparents' physical health is good, but their mental health is poor, a conflict with their adult children increases. Fourth, when grandparents' satisfactions with family relationship and spouse relationship are low, but their satisfaction with adult children relationship is high, a conflict with their adult children rises. This study suggests that unlike in the past, grandparents raising grandchildren can no longer make sacrifice themselves for their adult children, but they expect proper exchange between parents and children. Therefore, there needs to be understanding of grandparents raising grandchildren and further studies of a conflict between grandparents raising grandchildren their adult children.

• 한국노년학
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• v.31 no.1
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• pp.15-31
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• 2011

The purpose of this study is to explore the transition to retirement of the middle-aged in Korea according to the notion of "the career job" and "the bridge job". In order to scrutinize basic elements for the transition, three aspects such as the job history of the middle-aged, the characteristics of the demographic and economic status were investigated through the one to three wave of Korean Retirement and Income Study(KReIS). In addition, the characteristics of the career job and the bridge job were analyzed by both descriptive statistics and the conditional transition probability. Moreover, the influential factors to the job status of the middle-aged were examined by the multi-nominal logistic regression. The results of the study are as followed: first, gradual retirement is increasing in the transition to retirement of the middle-aged in Korea. Over time, the career job is decreasing whilst bridge job is increasing. However, the quality of the bridge job is poorer than the career job in terms of wage, employment status, industry, and occupation. Lastly, the middle-aged who work in the bridge job have vulnerable characteristics, so they work in the bridge job to supplement their economic needs. The results can be influential in the adjustment of the labor policies for the middle-aged in Korea. Moreover, the partial pension system could be a good alternative since the pension system is needed to protect the vulnerable situation of the middle-aged in Korea.

• 한국노년학
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• v.29 no.3
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• pp.899-915
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• 2009

The purpose of this study was examined effect of physical fitness and exercise participation on healthy aging of the elderly. The subjecrts were a total 319 people that they were participate in the regular exercise, and go to welfare center in Seoul. Data were collected during the period from November 1 to November 30, 2006. The collected data were analyzed frequency, descriptive statistics, correlation and hierarchical regression analysis using the SPSS-Win 12.0 program. The results of hierarchical regression analysis were appeared as follows. According to the results of hierarchical regression analysis, significant factors influencing healthy aging were monthly income, monthly pocket money, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. 2. According to the results, significant factors influencing physiological health were age, marital status, self-perceived health status, exercise behavior and period of exercise. 3. According to the results, significant factors influencing cognitive-mental health were monthly income, monthly pocket money, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. 4. According to the results, significant factors influencing social-support health were monthly income, age, education, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. In conclusion, First, this questionnaire demonstrates good reliability and validity and therefore it is an appropriate measurement of healthy aging for the elderly in Korea. Second, it is important that exercise behavior is main factor to healthy aging life on the elderly. Third, There is important mean values of the items for healthy aging.

• 한국노년학
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• v.29 no.1
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• pp.243-258
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• 2009

Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

• 한국노년학
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• v.29 no.2
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• pp.683-699
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• 2009

Family caregiving to the elderly is one of the most important social issues in recent Korea. Among various kinds of family caregivers, spouse caregivers particularly constitute a special group, generally characterized by continuous intimate association with the care recipients at many levels and by special commitments and responsibilities associated with the marriage bond. And the number of spouse caregiver is expected to increase in the future. Moreover, since a conjugal relation is consisted of husband and wife, their caregiving experiences and caregiving burden may vary by gender. Thus, the present study was to examine the effect of caregiving experience, especially caregiving motivation and social support focusing on the gender differences. We analysed 「2001 Survey of Care-giving Status and welfare Needs of Older Persons in Korea」 data by performing descriptive statistics, t-test and logistic regression. As a result, we found that the husband was likely to feel more burden when he started caregiving because of few alternatives. For wife caregivers, the less awareness of social support they had, the more possibility of economic burden they felt. With these results, we suggest the necessity of having gender-sensitive perspective in research and policy making for caregivers.